The Center will reduce pregnancy-related and pregnancy-associated maternal morbidity and mortality (PRAMM) disparities in Black, Latine, and rural populations through innovative and culturally relevant community-partnered effectiveness and implementation research. This will be operationalized through the Center's three projects, community partnership consortium, and training program.
The Center tests multilevel, community-centered, equity-focused interventions for PRAMM disparities, with an emphasis on scalability and sustainment. Each of the Center's three projects will design, implement, and test their own interventions. The Center will also assess if the different interventions impact each others' outcomes.
Project 1:
Multilevel community-centered intervention to reduce pregnancy related and associated morbidity and mortality (PRAMM) disparities in non-Hispanic Black and Latine Medicaid-insured individuals.
This project is the first large-scale test of a home visiting program that integrates community health workers to focus on PRAMM disparities issues, including comorbid conditions. It will address patient-provider interactions from provider and patient perspectives.
Investigators: Meghea, Slaughter-Acey, Roman, and Wisdom
Project 2:
High reach, multi-level digital intervention for pregnancy-related and -associated morbidity and mortality (PRAMM) disparities.
This project develops and tests the effectiveness of a technology-enabled approached to reducing PRAMM disparities among rural and Black populations.
Investigators: Ondersma, Margerison, and McKay
Project 3
Scale-up implementation approaches to ending pregnancy-related and -associated morbidity and mortality (PRAMM) disparities.
This project will create and test a plan to expand the Alliance for Innovation on Maternal Health—Community Care Initiative’s (AIM-CCI)* equity-focused patient safety bundles for outpatient and community care. We will reach 12 Michigan counties, serving nearly 6 million people, while evaluating both the effectiveness of the plan and its cost.
*AIM-CCI a focused on improving maternal health outcomes through the use of Maternal Safety Bundles in non-hospital settings. AIM-CCI was initially a federally funded project, created through a cooperative agreement with the Health Resources and Services Administration (HRSA) and the National Healthy Start Association.
Investigators: Clement, Johnson, and Loree
Community Partnership Consortium
This Consortium will create an action-oriented, inclusive, broad-based stakeholder group to act as full partners in increasing the relevance and reach of Center activities.
Investigators: Key and Sanchez-Lloyd
Training Program
Training program addressing the multilevel factors that affect pregnancy-related and pregnancy-associated morbidity and mortality disparities
The Center will engage and prepare early-stage investigators, especially those from backgrounds or identities currently underrepresented in the health sciences, to conduct research that address the biological, behavioral, environmental, and structural determinants of PRAMM disparities.
Investigators: Margerison, Meghea, and Saddler